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Dr. Scott Raymond Johnson , MD

Surgery โ€ข Lewiston, ME

Active NPI 1104896133 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

12 High St Ste 401
Lewiston, ME 042407690

Call 2077955767 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

12 High St Ste 401

Lewiston, ME 042407690

Telephone 2077955767
Fax 2077952732
Organization at the Same NPPES Address or Phone
Central Maine Medical Center Facility NPI 1861433765

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 3 distinct additional practice-address records in Boston, MA; Bridgton, ME; Rumford, ME. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

CMS Doctors and Clinicians lists 1 group name: Central Maine Medical Center. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Medical School

University Of Cincinnati College Of Medicine

Graduation Year

1992

Medicare-allowed amount

About $854 in 2021

The total amount Medicare approved for these services in 2021. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2021.

Paid by Medicare

About $685 in 2021

The part of the Medicare-allowed amount that Medicare itself paid in 2021, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2021.

30-day fills

11 standardized 30-day fills in 2021

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$54 in 2021

The total cost of these prescriptions in 2021, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers โ€“ by Provider and Drug, 2021.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019โ€“2025.

Guide: How to read an Open Payments record

Years since graduation

34 years (graduated 1992)

CMS Doctors and Clinicians data list 1992 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2006

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, โ€œDoes your provider accept Medicare as full payment?โ€

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Johnson has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Johnson as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Lewiston and Maine

Billing and prescribing volume is not a quality rating.

Medicare Part B

Comparisons use 2024 data. The latest CMS data for Dr. Johnson are from 2021.

Medicare Part D

Comparisons use 2024 data. The latest CMS data for Dr. Johnson are from 2021.

22 active clinicians are listed under Surgery with a practice address in Lewiston, ME (229 in Maine).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Lewiston

4.5% of these 22 clinicians have the CMS telehealth indicator.

50% of these 22 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2021), CMS Medicare Part D Prescribers (2021), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo ยท Report an error.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2021.

CMS Part B ยท Data Year 2021
Reporting Year:

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016โ€“2020 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ€“ by Provider and Service data, 2017โ€“2021; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
99231 Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes
23 14 $118.49 $37.15

Source: CMS Part B by Provider and Service, 2021; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2021.

CMS Part D ยท Data Year 2021
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Oxycodone Hcl Oxycodone Hcl 11 47 $53.90 11

Source: CMS Part D by Provider and Drug, 2021; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

License # reported to NPPES ME MD21930

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Transplant Surgery

NUCC Taxonomy Code: 204F00000X

License # reported to NPPES MA 216275

A surgeon who specializes in transplant surgery.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Maine State Medical Licensing Board.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Other Identifier Blue Cross
J25610 (MA)
Other Identifier Tufts Health Plan
216275 (MA)
Other Identifier Masshealth
0184144 (MA)

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - GENERAL SURGERY

Medicare Enrollment ID

I20180116000085

Enrollment State Jurisdiction

ME

PECOS Control ID

1153398664

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Central Maine Medical Center

300 Main St, Lewiston, ME 042407027

Phone: 2077533900

Secondary Practice Locations

420 Franklin St

Rumford, ME 042762104

Phone: 2073691106

110 Francis St, Lmob 7

Boston, MA 022155501

Phone: 6176329824

12 High St Ste 401

Lewiston, ME 042407690

Phone: 2077955767

25 Hospital Dr

Bridgton, ME 040091167

Phone: 2076474234

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

18 listed
NPI 1851432363

Doctor of Medicine (M.D.)

NPI 1346574027

Doctor of Medicine (M.D.)

Dr. David Burke , MD

Surgery - Trauma Surgery

NPI 1033130612

Doctor of Medicine (M.D.)

Heather Carpenter , NP

Nurse Practitioner

NPI 1649603366

Nurse Practitioner

Lisa Decesare , NP

Nurse Practitioner - Family

NPI 1922300870

Nurse Practitioner

NPI 1619961067

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

17 Historical Events
โœ…
NPI Profile Active March 17, 2018

NPI status registered as active in NPPES database

๐Ÿ“
Updated Practice Location March 17, 2018

Registered at 12 HIGH ST STE 401, LEWISTON, ME 042407690 (Tel: 2077955767)

๐Ÿ“
Updated Business Mailing Address March 17, 2018

Registered at 12 HIGH ST, LEWISTON, ME 042407676 (Tel: 2077955767)

๐Ÿ‘ค
Provider Name / Credentials Updated March 17, 2018

Recorded as SCOTT JOHNSON, MD

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 17, 2018

Transplant Surgery (license number reported to NPPES: MA 216275)

โœ…
NPI Profile Active January 15, 2018

NPI status registered as active in NPPES database

๐Ÿ“
Updated Practice Location January 15, 2018

Registered at 12 HIGH ST STE 401, LEWISTON, ME 042407690 (Tel: 2077955767)

๐Ÿ“
Updated Business Mailing Address January 15, 2018

Registered at 12 HIGH ST, LEWISTON, ME 042407676 (Tel: 2077955767)

๐Ÿ‘ค
Provider Name / Credentials Updated January 15, 2018

Recorded as SCOTT JOHNSON, MD

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 15, 2018

Surgery (license number reported to NPPES: ME MD21930)

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 15, 2018

Transplant Surgery (license number reported to NPPES: MA 216275)

โœ…
NPI Profile Active September 13, 2013

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) September 13, 2013

Registered at 110 FRANCIS ST, LMOB 7, BOSTON, MA 022155501 (Tel: 6176329824)

๐Ÿ“
Business Mailing Address (Initial Record) September 13, 2013

Registered at 11 NEVINS ST, #201, BRIGHTON, MA 021353514 (Tel: 6177892442)

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) September 13, 2013

Recorded as SCOTT JOHNSON, MD

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 13, 2013

Transplant Surgery (license number reported to NPPES: MA 216275)

๐ŸŸข
Initial NPI Registration & Enumeration January 24, 2006

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1104896133
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 24, 2006
Last Update: March 17, 2018
Sole Proprietor: No

Other Surgery Specialists in Lewiston

All Surgery Specialists in Lewiston

Mailing Address

12 High St

Lewiston, ME 042407676

Phone: 2077955767

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.